Organization
PATHWAYS ENHANCED CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAY ELIZABETH BLAKE PHD (CHIEF OPERATING OFFICER)
(603) 931-2676
Entity
Organization
Contact information
Practice address
31 DERRY ST, MANCHESTER, NH 03104-5004
(603) 931-2676
Mailing address
31 DERRY ST, MANCHESTER, NH 03104-5004
(603) 931-2676
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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